Individual
DANISHA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
Mailing address
1616 W 124TH ST, LOS ANGELES, CA 90047-5220
(323) 757-5411
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN187762
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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